Complications after hip operations

Abstract

From 1999 to 2008, according to a prospective and sequential compilation of data, the 12,590 hip operations (11,059 in adults and 1,531 in children) performed in our hospital showed a postoperative complication rate of 4.96% (5.2% in adults and 1.96% in children). The most frequent complications were 110 thromboses (0.87%), which were clinically apparent and proven by Doppler ultrasonography or phlebography; 191 superficial and deep disorders of wound healing (1.5%), including 57 (0.45%) infections; 88 peripheral nerve lesions (0.7%); and 53 hematoma revisions (0.42%). Operation-specific statistics for complications (total hip replacements, revisions, femoral and pelvic osteotomies, hardware removals, and operations in children, including acetabuloplasty, femoral osteotomies, and open reductions) are presented here. Those statistics make it possible to judge and compare method-specific and department-specific risks and their development over time. An open and active attitude when dealing with postoperative complications can cost effectively and efficiently improve treatment results.

Screw fixation after tripe pelvic osteotomy is reliable: changes of acetabular correction are rare and do not correlate with risk factors

“…Katthagen et al described the necessity of revision surgery in very few cases (less than 1%) in order to perform an improvement of the correction or to revise the osteosynthesis. The authors were able to overlook a rather large series of TPO with a total of 2036 procedures [ 15 ].…”

Thrombembolische Komplikationen nach Sprunggelenkprothesenimplantation

“…Die postoperative Thrombose und Embolie gehören zu den häufigsten postoperativen Komplikationen nach endoprothetischem Ersatz des Hüft-und Kniegelenks [26,27,44,65]. Die Inzidenz der postoperativen Thrombose kann bis zu 70% nach Hüft-oder Kniegelenkprothesenimplantation ohne Thrombembolieprophylaxe betragen [46,47].…”

Gelenkerhaltende Hüftchirurgie im Erwachsenenalter

“…sacrotuberale) mit limitierter Schwenkbarkeit des Pfannenfragments (3FBO), F Über-oder Unterkorrektur F Pseudarthrose (Darm-und Schambein je 1, 8%), F Nervenläsionen (peronäal betonte N.-ischiadicus-Parese 1, 8%, Femoralisparese 0, 3%), F In Einzelfällen kommt es zu einer stärkeren Blutung aus der Darmbeinosteotomie, die in schweren Fällen für einige Minuten eine Tamponade mit Kompressen erforderlich macht. F Bei der Nachuntersuchung von 2361 3FBO [30] zeigte sich eine Thromboserate von 1, 8%, Lungenembolien kamen bei 0, 3% vor. Bei der Kombination der 3FBO mit einer intertrochantären Korrektur kommt es mit 2, 7% zu einer Erhöhung der Thromboserate.…”